Individual provider Active NPI

Curtis A Andre, O.D.

  • Optometrist
  • Turlock, CA
National Provider Identifier
1447310230
Registry record updated May 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6157T Issued in CA
Practice address
711 E Hawkeye Ave
Suite 1
Turlock, CA 95380-7505
Phone
(209) 632-2411
Fax
(209) 632-9019
NPI assigned
Dec 11, 2006
Last updated
May 30, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6157T CA Primary

Addresses

Primary practice location

711 E Hawkeye Ave
Suite 1
Turlock, CA 95380-7505

Mailing address

711 E Hawkeye Ave
Suite 1
Turlock, CA 95380-7505
Phone (209) 632-2411

Other identifiers 1

IdentifierTypeStateIssuer
GSD001760MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081113000153 CA Practitioner - Optometry 4981778164 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Berkeley Northeastern State University - College of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

711 E Hawkeye Ave
Suite 1
Turlock, CA 95380-7505
Phone (209) 632-9019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6157TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Curt Andre OD Incorporated Optometrist CurrentSince Oct 4, 1978 Accepting new patients

Locations

711 E Hawkeye Ave
Ste 1
Turlock, CA 95380
Phone (209) 632-2411

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369872000000",
    "number": "1447310230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 E HAWKEYE AVE",
            "address_2": "SUITE 1",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953807505",
            "telephone_number": "209-632-2411",
            "fax_number": "209-632-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E HAWKEYE AVE",
            "address_2": "SUITE 1",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953807505",
            "telephone_number": "209-632-2411",
            "fax_number": "209-632-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRE",
        "first_name": "CURTIS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2013-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6157T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD001760",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

Verify at the official NPI Registry.